§412.83. Payment for extraordinarily high-cost day outliers.
42 C.F.R. § 412.83
For discharges occurring before October 1, 1997, if a discharge that qualifies for an additional payment under the provisions of § 412.82 has charges adjusted to costs that exceed the cost outlier threshold criteria for an extraordinarily high-cost case as set forth in § 412.80(a)(1)(ii), the additional payment made for the discharge is the greater of—
The applicable per diem payment computed under § 412.82 (c) or (d); or
The payment that would be made under § 412.84 (i) or (j) if the case had not met the day outlier criteria threshold set forth in § 412.80(a)(1)(i).
Notes, amendments, and revision history
Amendments
[53 FR 38529, Sept. 30, 1988, as amended at 62 FR 46028, Aug. 29, 1997. Redesignated at 85 FR 59020, Sept. 18, 2020]
Authority
Authority: 42 U.S.C. 1302 and 1395hh.
Source
Source: 50 FR 12741, Mar. 29, 1985, unless otherwise noted.
Amendments
[53 FR 38529, Sept. 30, 1988, as amended at 62 FR 46028, Aug. 29, 1997. Redesignated at 85 FR 59020, Sept. 18, 2020]